Elizabeth Jean Reardon, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP077989 Issued in GA

Practice address

1816 Eagle Dr Ste 200-B
Woodstock, GA 30189-8274

Phone

(404) 255-5956

NPI assigned

Mar 27, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.reardon.p1@direct.arg.nextgenshare.com
• Direct secure messaging: ereardon29832@directwellstar.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeastern Rheumatology Alliance

  • Rheumatology Physician
  • Gainesville, GA
  • NPI 1114795663
  Medicare reassignment NPD
• Southeastern Rheumatology Alliance

  • Rheumatology Physician
  • Atlanta, GA
  • NPI 1043088495
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1174765853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 EAGLE DR STE 200-B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898274",
            "telephone_number": "404-255-5956",
            "fax_number": "770-575-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 EAGLE DR STE 200-B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898274",
            "telephone_number": "404-255-5956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Johnson Ferry Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421623",
            "country_code": "US",
            "telephone_number": "404-255-5956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REARDON",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP077989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Raven, LCSW
• Katie Ray, BCBA
• Shelley Lenore Ray, CNM
• Michael Vincent Razzano, D.D.S.
• Real Health Solutions
• Jennifer Anne Reardon
• Rebound Physical Therapy, LLC
• Rohini Reddy, M.D.
• Vineet Gurram Reddy, M.D.
• Rediclinic US, LLC

• Family Nurse Practitioner in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.